ELLEN LIVERSIDGE

SHIPROCK, NM
NPI1023549284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: NM  5271)
Enumeration Date2017-03-21
Last Update Date2017-03-21
Business Address
ELLEN LIVERSIDGE M.S., CCC-SLP
HWY 64, OLD HIGH SCHOOL RD.
SHIPROCK, NM 87420
Phone number: 505-368-4984
Mailing Address
ELLEN LIVERSIDGE M.S., CCC-SLP
4923 DEL MONTE AVE
SAN DIEGO, CA 92107-3208
Phone number: 301-775-3649
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